P5309 - Optimizing Healthcare Maintenance in IBD Patients: A Quality Improvement Initiative

Ali Jaan, MD¹, Fatima Warraich, MD, MEHP², Waddah Abd El-Radi, MD³, Keerthi Mannumbeth. Renjith, MD³, Tariq Alamin, MBBS², Mostafa Najim, MBBS⁴, Marina Takawy, MD³, Adeena Maryyum, ⁵, Asim Mushtaq, MD⁶, Erik Olson, DO², Karin Dunnigan, MD²
1Unity Hospital, Rochester, NY; 2Rochester General Hospital, Rochester, NY; 3Rochester Regional Health, Unity Hospital, Rochester, NY; 4Unity Hospital - Rochester Regional Health, Rochester, NY; 5Ayub Medical College, Abbottabad, North-West Frontier, Pakistan; 6Rochester Regional Health, Rochester, NY

Introduction: Patients with inflammatory bowel disease (IBD) require diligent healthcare maintenance (HCM) to mitigate the risks associated with chronic inflammation and immunosuppression. Nevertheless, adherence to preventive care recommendations remains inconsistent in clinical practice. This quality improvement (QI) initiative aimed to evaluate the status of adherence to IBD HCM components, followed by the implementation of multifaceted interventions to enhance HCM in IBD patients.

Methods: Baseline data were collected for 200 IBD patients seen in the fellows' clinic from January 2024 to March 2024. The components of HCM were evaluated in these patients. STATA 14.2 was utilized for statistical analysis.

Results: Considerable variability was seen in the provision of recommended HCM practices. Covid-19 vaccination had the highest compliance rate, documented in 87.00% of the patients (Table 1). In contrast, significantly lower rates were noted for other immunizations, including annual influenza (48%), hepatitis B (42%), herpes zoster (39.5%), and HPV (23.81% of age-eligible patients). Although 65.7% of the eligible 111 immunocompromised patients received pneumococcal vaccine, respiratory syncytial virus vaccination showed the lowest adherence (10%), followed closely by hepatitis A vaccine at 16%. While dysplasia surveillance via colonoscopy was performed in 83.5% of the cohort, mental health evaluation lagged significantly behind (42%). Among those meeting criteria for osteoporosis screening, 60.9% had a recorded DEXA scan. Pap smear and cessation counselling for smokers were noted in less than half the eligible population, whereas annual dermatologic evaluation was only performed in 13 of the 111 candidates.

Discussion: Review of metrics uncovered substantial lapses in recommended IBD HCM measures. A structured didactic session was delivered to the gastroenterology department, focusing on evidence-based HCM practices in IBD. In parallel, a SmartPhrase was created and integrated into the electronic medical record (EMR) to facilitate documentation of key HCM elements. Post-intervention improvement in HCM will be assessed in the future phase. The findings will provide valuable insights into the effectiveness of the QI initiative and guide future refinements to optimize IBD patient care.


Figure: Table 1. Baseline demographic and recommended healthcare maintenance components in the inflammatory bowel disease population.



Figure: Figure 2. optimizing healthcare maintenance in IBD patients

Disclosures:
Ali Jaan indicated no relevant financial relationships.
Fatima Warraich indicated no relevant financial relationships.
Waddah Abd El-Radi indicated no relevant financial relationships.
Keerthi Renjith indicated no relevant financial relationships.
Tariq Alamin indicated no relevant financial relationships.
Mostafa Najim indicated no relevant financial relationships.
Marina Takawy indicated no relevant financial relationships.
Adeena Maryyum indicated no relevant financial relationships.
Asim Mushtaq indicated no relevant financial relationships.
Erik Olson indicated no relevant financial relationships.
Karin Dunnigan indicated no relevant financial relationships.

Ali Jaan, MD¹, Fatima Warraich, MD, MEHP², Waddah Abd El-Radi, MD³, Keerthi Mannumbeth. Renjith, MD³, Tariq Alamin, MBBS², Mostafa Najim, MBBS⁴, Marina Takawy, MD³, Adeena Maryyum, ⁵, Asim Mushtaq, MD⁶, Erik Olson, DO², Karin Dunnigan, MD². P5309 - Optimizing Healthcare Maintenance in IBD Patients: A Quality Improvement Initiative, ACG 2025 Annual Scientific Meeting Abstracts. Phoenix, AZ: American College of Gastroenterology.